Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 21 and up

THAM vs. sodium bicarbonate for metabolic acidosis after cardiac surgery

Official title: THAM VErsus Sodium BiCarbOnate In CaRdiac SuRgical PatiEnts, A PragmatiC, Comparative-effectiveness Prospective Trial

Run by Mayo Clinic · NCT07424625 · Data updated 2026-11-12

This trial tests whether THAM and sodium bicarbonate perform similarly to correct metabolic acidosis in patients having heart surgery with bypass.

More Metabolic Acidosis trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages21 Years and up
SexAll
Enrollment250 (estimated)
SponsorMayo Clinic
Academic / other
Locations1 site (Rochester, Minnesota)
StatusRecruiting
StartedSeptember 14, 2026
Main results expectedDecember 2027
Study endsJune 2028
Registry record updatedSeptember 21, 2026
Trial IDNCT07424625 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults undergoing cardiothoracic surgery with cardiopulmonary bypass who develop metabolic acidosis (base excess < -5) and have Minnesota Research Authorization.

Probably not a fit

Patients without metabolic acidosis or those not on cardiopulmonary bypass may not benefit from this comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional Phase 4 study compares two treatments for metabolic acidosis occurring during cardiac surgery with cardiopulmonary bypass. Participants are adults undergoing cardiothoracic surgery who develop metabolic acidosis, defined by a base excess below -5, and have Minnesota Research Authorization. The study aims to determine if THAM is equivalent to sodium bicarbonate in addressing the metabolic disturbance. Mayo Clinic leads the trial at its Rochester, Minnesota site with no listed collaborators. Eligible participants are identified within the Mayo Clinic patient population and are recruited under applicable authorization and consent processes.

Why it matters

Potential benefit: If equivalent, either treatment could be used in this setting, potentially guiding safer or more convenient management of metabolic acidosis after cardiac surgery.

How similar studies have gone: Prior work in metabolic acidosis treatment for surgical patients has explored similar agents, supporting investigation into alternative buffering therapies.

Who can join: the full rules

Show full inclusion / exclusion criteria
* Inclusion criteria

  * Cardiothoracic surgery with use of cardiopulmonary bypass
  * Presence of metabolic acidosis (defined as a base excess of \<-5)
  * Minnesota Research Authorization
* Exclusion criteria

  * Non-cardiac surgery patients or cardiac surgery without cardiopulmonary bypass
  * Absence of metabolic acidosis (metabolic acidosis being defined as a base excess of \<-5)
  * Pregnant patients
  * Prisoners
  * Opt out of Minnesota Research Authorization

Where it's running

  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    This observational study checks which factors influence bicarbonate in adults on maintenance dialysis to see how different dialysis practices and diet may affect metabolic balance.

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  • Sodium bicarbonate for critically ill patients with metabolic acidosis and AKI

    This trial tests whether giving sodium bicarbonate helps reduce major kidney problems 90 days later in adults with septic or critical illness and kidney injury.

    Recruiting Phase 4 Universität Münster · Münster · NCT07464431

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    This 26-week trial will test whether veverimer can raise bicarbonate levels and improve outcomes in adults with moderate-to-severe CKD and metabolic acidosis.

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    Recruiting Phase 1/2 University of California, San Francisco · San Francisco, California · NCT06366230

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.